Liquid formulations of tumor necrosis factor-binding proteins

ABSTRACT

The invention relates to a stable, pharmaceutically acceptable, aqueous formulation of TNF-binding protein, comprising a TNF-binding protein, a buffer and an isotonicity agent.

This application is a Continuation of U.S. application Ser. No.10/547,307, filed Oct. 11, 2006, which is the National Stage ofPCT/EP04/50118, filed Feb. 11, 2004, which claimed priority to Europeanapplication no. 03100505.1, filed Feb. 28, 2003; of which all of thedisclosures are incorporated herein by reference in their entireties.

FIELD OF THE INVENTION

This invention relates to liquid, stable formulations of TNF-BindingProteins.

BACKGROUND OF THE INVENTION

Tumor necrosis factor-alpha (TNF-α), a potent cytokine, elicits a broadspectrum of biologic responses, which are mediated by binding to a cellsurface receptor. Stauber et al. “Human tumor necrosis factor-alphareceptor: purification by immunoaffinity chromatography and initialcharacterization” (J. Biol. Chem. 263: 19098-19104, 1988) isolated thereceptor for human TNF-alpha from a human histiocytic lymphoma cellline. Hohmann et al. “Two different cell types have different majorreceptors for human tumor necrosis factor (TNF-alpha)” (J. Biol. Chem.264: 14927-14934, 1989) concluded that there are 2 different proteinsthat serve as major receptors for TNF-alpha, one associated with myeloidcells and one associated with epithelial cells.

Using monoclonal antibodies, Brockhaus et al. “Identification of twotypes of tumor necrosis factor receptors on human cell lines bymonoclonal antibodies” (Proc. Nat. Acad. Sci. 87: 3127-3131, 1990)obtained evidence for 2 distinct TNF-binding proteins, both of whichbind TNF-alpha and TNF-beta specifically and with high affinity. Gray etal. “Cloning of human tumor necrosis factor (TNF) receptor cDNA andexpression of recombinant soluble TNF-binding protein” (Proc. Nat. Acad.Sci. 87: 7380-7384, 1990) isolated the cDNA for one of the receptors.They found that it encodes a protein of 455 amino acids that is dividedinto an extracellular domain of 171 residues and a cytoplasmic domain of221 residues. Aggarwal et al. “Characterization of receptors for humantumour necrosis factor and their regulation by gamma-interferon” (Nature318: 665-667, 1985) showed that tumor necrosis factors alpha and betainitiate their effects on cell function by binding to common cellsurface receptors. The TNFA and TNFB receptors have different sizes andare expressed differentially in different cell lines (see Hohmann etal., 1989; and Engelmann et al. “Two tumor necrosis factor-bindingproteins purified from human urine: evidence for immunologicalcross-reactivity with cell surface tumor necrosis factor receptors.” (J.Biol. Chem. 265: 1531-1536, 1990)).

TNF-α-R, referred to by some as TNFR55, is the smaller of the 2receptors. cDNAs for both receptors have been cloned and their nucleicacid sequence determined (see Loetscher et al. “Molecular cloning andexpression of the human 55 kd tumor necrosis factor receptor.” (Cell 61:351-359, 1990); Nophar et al. “Soluble forms of tumor necrosis factorreceptors (TNF-Rs): the cDNA for the type I TNF-R, cloned using aminoacid sequence data of its soluble form, encodes both the cell surfaceand a soluble form of the receptor” (EMBO J. 9: 3269-3278, 1990); Schallet al. “Molecular cloning and expression of a receptor for human tumornecrosis factor.” (Cell 61: 361-370, 1990); Smith et al. “A receptor fortumor necrosis factor defines an unusual family of cellular and viralproteins.” (Science 248: 1019-1023, 1990).

Proteins are known to undergo several degradative pathways, especiallydeamidation, aggregation, clipping of the peptide backbone andoxidation. Many of these reactions can be slowed significantly byremoval of water from the protein.

However, the development of an aqueous formulation for drug proteins hasthe advantages of eliminating reconstitution errors, thereby increasingdosing accuracy, as well as simplifying the use of the productclinically, thereby increasing patient compliance. Thus, it is anobjective of this invention to provide an aqueous formulation ofTNF-binding proteins, which provides acceptable control of degradationproducts, is stable to vigorous agitation (which induces aggregation),and is resistant to microbial contamination (which allows “multiple use”or “multi-dose” packaging).

BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS

FIG. 1 shows linear regression lines for onercept formulated bulk at 5mg/ml and 50 mg/ml in 10 mM phosphate buffer (stability data at +40±2°C.).

FIG. 2 shows linear regression lines for onercept formulated bulk at 5mg/ml and 50 mg/ml in 10 mM acetate buffer (stability data at +40±2°C.).

FIG. 3 shows linear regression lines for onercept formulated bulk at 5mg/ml and 50 mg/ml in 10 mM citrate buffer (stability data at +40±2°C.).

FIG. 4 shows linear regression lines for onercept formulated bulk at 5mg/ml at different ionic strength (stability data at +40±2° C.).

FIG. 5 shows linear regression lines for onercept formulated bulk at 50mg/ml at different ionic strength (stability data at +40±2° C.).

FIG. 6 shows linear regression lines for onercept formulated bulk at 5mg/ml with excipients (stability data at +40±2° C.).

FIG. 7 shows linear regression lines for onercept formulated bulk at 50mg/ml with excipients (stability data at +40±2° C.).

DESCRIPTION OF THE INVENTION

The main object of the present invention is therefore a stable,pharmaceutically acceptable, aqueous formulation of TNF-binding proteincomprising a TNF-binding protein human, a buffer and an isotonicityagent. In one embodiment, the concentration of the buffer is from 5 to150 mM. In another embodiment, the concentration of the isotonicityagent is from 5 to 50 mM.

Preferably the pH of the solution is kept between 6 and 7 by using abuffer. The buffer can be any pharmaceutically acceptable buffer, whichis able to maintain such a pH. Preferably it is phosphate buffer.

The isotonicity agent may be any pharmaceutically acceptable agent,which includes any neutral salt or sugar. For example it can be sodiumchloride or mannitol.

A preservative may be included in the formulation to retard microbialgrowth and thereby allow “multiple use” or “multi-dose” packaging of theTNF-binding protein. Preservatives include phenol, benzyl alcohol,meta-cresol, methyl paraben, propyl paraben, benzalconium chloride, andbenzethonium chloride. The preferred preservatives include m-cresol andbenzyl alcohol.

The liquid formulations of the invention can also be freeze-dried orlyophilised, if needed.

According to the present invention “TNF-binding proteins” means anyprotein, which has an affinity for TNF-alpha or TNF-beta and/or aprotein, which comprises in full or in part the extra-cellular, solublefragment of a protein belonging to the TNF receptors family.

Some examples of members of the TNF receptor family are the following:

-   -   Tumor Necrosis Factor Receptor 1 (TNFR1), also called Tumor        Necrosis Factor Receptor Superfamily, Member 1A (TNFRSF1A), or        Tumor Necrosis Factor-alpha Receptor (TNFAR) or TNFR 55-KD or        TNFR 60-KD (see description at OMIM*191190        http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=OMIM)    -   Tumor Necrosis Factor Receptor 2 (TNFR2), also called Tumor        Necrosis Factor Receptor Subfamily, Member 1B (TNFRSF1B), or        Tumor Necrosis Factor-beta Receptor (TNFBR) or TNFR 75-KD or        TNFR 80-KD (see description at OMIM*191191);    -   OX40 Antigen (OX40), also called Tumor Necrosis Factor Receptor        Superfamily, Member 4 (TNFRSF4), or Tax-Transcriptionally        Activated Glycoprotein 1 Receptor (TXGP1L) or Lymphoid        Activation Antigen ACT35 (ACT35) or CD134 (see description at        OMIM*600315);    -   CD40L Receptor (CD40), also called Tumor Necrosis Factor        Receptor Superfamily, Member 5 (TNFRSF5) or B-cell surface        antigen CD40, or CDw40 or Bp50 (see description at Swiss-Prot        Entry No. P25942);    -   FASL Receptor (FAS), also called Tumor Necrosis Factor Receptor        Superfamily, Member 6 (TNFRSF6), or Apoptosis-Mediating Surface        Antigen FAS or Apo-1 Antigen or CD95 (see description at        Swiss-Prot Entry No. P25445);    -   Decoy Receptor 3 (DcR3), also called Tumor Necrosis Factor        Receptor Superfamily, Member 6B (TNFRSF6B) or Decoy Receptor for        FAS Ligand or M68 (see description at Swiss-Prot Entry No.        O95407);    -   CD27 Atnigen (CD27), also called Tumor Necrosis Factor Receptor        Superfamily, Member 7 (TNFRSF7) or T-Cell Activation Antigen        S152 (S152) (see description at OMIM*602250);    -   Lymphoid Activation Antigen CD30 (CD 30), also called Tumor        Necrosis Factor Receptor Superfamily, Member 8 (TNFRSF8) (see        description at OMIM*153243)    -   Induced By Lymphocyte Activation (ILA), also called Tumor        Necrosis Factor Receptor Superfamily, Member 9 (TNFRSF9) or        CD137 (see description at OMIM*602250);    -   Death Receptor 4 (DR4), also called Tumor Necrosis Factor        Receptor Superfamily, Member 10A (TNFRSF10A), or TNF-Related        Apoptosis-lnducing Ligand Receptor 1 (TRAILR1) or AP02 (see        description at OMIM*603611);    -   Death Receptor 5 (DR5), also called Tumor Necrosis Factor        Receptor Superfamily, Member 10B (TNFRSF10B), or TNF-Related        Apoptosis-Inducing Ligand Receptor 2 (TRAILR2) or Killer/DR5 or        TRICK2 (see description at OMIM*603612);    -   Decoy Receptor 1 (DCR1), also called Tumor Necrosis Factor        Receptor Superfamily, Member 10C (TNFRSF10C), or TNF-Related        Apoptosis-Inducing Ligand Receptor 3 (TRAILR3), or TRAIL        Receptor Without An Intracellular Domain (TRID) (see description        at OMIM*603613);    -   Decoy Receptor 2 (DCR2), also called Tumor Necrosis Factor        Receptor uperfamily, Member 10D (TNFRSF10D) or TNF-Related        Apoptosis-Inducing Ligand Receptor 4 (TRAILR4) or TRAIL Receptor        With A Truncated Death Domain (TRUNDD) (see description at        OMIM*603014);    -   Receptor Activator of NF-KAPPA-B (RANK), also called Tumor        Necrosis Factor Receptor Superfamily, Member 11A (TNFRSF11A), or        Osteoclast Differentiation Factor Receptor (ODFR) or PDB2 or        TRANCER (see description at OMIM*603499);    -   Osteoprotegerin (OPG), also called Tumor Necrosis Factor        Receptor Superfamily, Member 11B (TNFRSF11B) or        Osteoclastogenesis Inhibitory Factor (OCIF) (see description at        OMIM*602643);    -   Death Receptor 3 (DR3), also called Tumor Necrosis Factor        Receptor Superfamily, Member 12 (TNFRSF12), or APO3 or        Lymphocyte-Associated Receptor of Death (LARD) (see description        at OMIM*603366);    -   Transmembrane Activator And Caml Interactor (TACI), also called        Tumor Necrosis Factor Receptor Superfamily, Member 13B        (TNFRSF13B) (see description at OMIM*604907);    -   BAFF Receptor (BAFFR), also called Tumor Necrosis Factor        Receptor Superfamily, Member 13C (TNFRSF13C), or B        Cell-Activating Factor Receptor (see description at        OMIM*606269);    -   Herpesvirus Entry Mediator (HVEM), also called Tumor Necrosis        Factor Receptor Superfamily, Member 14 (TNFRSF14), or        Herpesvirus Entry Mediator A (HVEA) or TR2 (see description at        OMIM*602746);    -   Nerve Growth Factor Receptor (NGFR), also called Tumor Necrosis        Factor Receptor Superfamily, Member 16 (TNFRSF16) or p75(NTR)        (see description at OMIM*162010);    -   B-Cell Maturation Factor (BCMA), also called Tumor Necrosis        Factor Receptor Superfamily, Member 17 (TNFRSF17) or BCM (see        description at OMIM*109545);    -   Glucocorticoid-Induced TNFR-Related Gene (GITR), also called        Tumor Necrosis Factor Receptor Superfamily, Member 18        (TNFRSF18), or Activation-Inducible TNFR Family Member (AITR)        (see description at OMIM*603905);    -   TRADE, also called Tumor Necrosis Factor Receptor Superfamily,        Member 19 (TNFRSF19), or Toxicity and JNK Inducer or TROY or TAJ        (see description at Swiss-Prot Entry No. Q9NS68);    -   X-linked Ectodyplasin-A2 Receptor (XEDAR), also called EDA-A2        receptor (see description at Swiss-Prot Entry No. Q9HAV5) and    -   DEATH RECEPTOR 6 (DR6), also called Tumor Necrosis Factor        Receptor Superfamily, Member 21 (TNFRSF21) (see description at        OMIM*605732).

In one embodiment, the TNF-binding protein is TBP-1. In anotherembodiment, the TNF-binding protein is TBP-2. According to a preferredembodiment of the invention the TNF-binding protein is selected betweenrecombinant h-TBP-1 (recombinant, extracellular, soluble fragment ofhuman TNF Receptor-1, comprising the amino acid sequence correspondingto the 20-180 amino acids fragment of Nophar et al.), whoseInternational Non-proprietry Name (INN) is “onercept”, and recombinanth-TBP-2 (recombinant, extracellular, soluble fragment of TNF Receptor-2,comprising the amino acid sequence corresponding to 23-257 of Smith etal.). Most preferably it is recombinant hTBP-1 (r-hTBP-1). For all theother proteins the soluble, extracellular domain is indicated in thecorresponding Swiss-Prot entry.

In a different embodiment, the concentration of TNF-binding protein iscomprised between 5 and 170 mg/ml.

In one embodiment, the formulation comprises TBP-1, 0.1 M sodiumphosphate buffer at pH=6.5 and 0.025 M sodium chloride.

Another embodiment is directed to a process for the preparation of aliquid pharmaceutical formulation, comprising the dilution of theTNF-binding protein with a solution of excipients.

Yet, another embodiment is directed to a presentation form of the liquidpharmaceutical formulation, hermetically sealed in sterile conditions ina contained appropriate for storage prior to use.

In the attempt to find a stable, liquid formulation, the effect ofpH/buffer, ionic strength and excipients was evaluated. The descriptionthat follows reports on experiments carried out with TBP-1 (onercept).

EXAMPLES Materials

Onercept drug substance (supplied by Istituto di Ricerca Cesare Serono,Ardea, IT)

Acetonitrile (Merck)

Acetic acid glacial (Merck)Ammonium sulphate (Merck)Citric acid (Merck)D(+)-Glucose monohydrate (Merck)

D (+)-Mannitol (Merck)

ortho-Phosporic acid (Merck)

Saccharose (Merck)

Sodium azide (Merck)Sodium chloride (Merck)Sodium hydroxide (Merck)Sodium sulphate anhydrous (Merck)Sodium dihydrogen phosphate monohydrate (Merck)di-Sodium hydrogen phosphate dihydrate (Merck)Trifluoroacetic acid (Baker)

Equipment

HPLC systems (Waters)Calibrated pipettes (Gilson)Stainless steel holders (Sartorius)pH meters (mod. 713, Metrohm)

Osmometer (Osmomat 030-D, Gonotec)

Membrane filters 0.45 μm and 0.22 μm (cod. HVLPO4700 and GWVP04700,Millipore)

Column TSK gel G2000 SWXL (cod. 08540, TosoHaas) Column TSKgeIPhenyl-5PW Glass 0.8 IDx7.5 cm (cod 08804, TosoHaas) Primary PackagingMaterial

Borosylicate type I glass vials (DIN 2R, Nuova Ompi)Flurotec rubber stoppers (S2F452, D777-1, B2-40, Daikyo Seiko)Borosilicate Type I glass syringes (HYPAK SCF syringe barrels with fixedneedle and needle shield-SCF 1.0 mL long W 7974 grey—Becton Dickinson)Flurotec stoppers, 1 mL-1 BG B2-40c FLT 4023/50 gr (Daykio)Bromobutyl stoppers (HYPAK SCF plunger stoppers—BSCF 1.0 mLL 4023/50grey (Becton Dickinson)

Analytical Tests and Methods

The following analytical tests and methods were used:

-   -   pH (potentiometric)    -   appearance (colour, clarity/opalescence, particles) (visual        inspection)    -   purity and assay by SE-HPLC (working instruction TF 08/01)    -   purity by HI-HPLC (working instruction TF 09/01)    -   osmolality (cryoscopic measurement), at time zero only    -   bioassay

First of all, the effect of pH/buffer, ionic strength and excipients wasevaluated. The compatibility with stoppers (coated and uncoated) wasevaluated as well. Once selected the best conditions, the followingthree strengths were investigated in pre-filled syringes:

-   -   10 mg/mL    -   50 mg/mL    -   60 mg/mL

A stability study was performed up to 3 months after storage at +5±3°C.; +25±2° C. and +40±2° C. and the following tests were executed:

-   -   pH    -   appearance (colour, clarity/opalescence, particles; by visual        inspection)    -   assay (by SE-HPLC)    -   purity (by SE-HPLC)    -   purity (by HI-HPLC)    -   osmolality (at time zero only)    -   bioassay

pH Effect

In order to test the effect of pH/buffer, solutions of onercept at 5mg/ml and 50 mg/ml were prepared by dilution of the drug substance inthe following 10 mM buffers at different pH:

-   -   1. sodium acetate at pH 4, 5 and 6    -   2. sodium citrate at pH 4, 5, 6 and 7    -   3. sodium phosphate at pH 5, 6, 7 and 8

The solutions (about 20 ml/batch) were filled into 3 ml glass vials (1ml filling volume), capped, stoppered and stored at +5±3° C., +25±2° C.and +40±2° C. to be analysed weekly up to 1 month.

Results were as shown by the Graphs of FIGS. 1, 2 and 3 and by Table 1:

TABLE 1 Onercept formulated bulk at 5 mg/ml and 50 mg/ml in 10 mMbuffers (losses in purity by SE-HPLC at +40 ± 2° C.) Slopes (%degr./week) Loss in purity (%) after 1 month Formulation PHO* CITR.*ACE* PHO* CITR.* ACE*  5 mg/ml at pH = 4.0 / −0.07 −0.10 / −0.3% −0.4% 5 mg/ml at pH = 5.0 −0.33 −0.24 −0.32 −1.3% −0.9% −1.3%  5 mg/ml at pH= 6.0 −0.17 −0.10 −0.17 −0.7% −0.4% −0.7%  5 mg/ml at pH = 7.0 −0.40−0.15 / −1.6% −0.6% /  5 mg/ml at pH = 8.0 −8.45 / / −33.8% / / 50 mg/mlat pH = 4.0 / −0.68 −1.56 / −2.7% −6.2% 50 mg/ml at pH = 5.0 −1.79 −0.95−1.79 7.2% −3.8% −7.2% 50 mg/ml at pH = 6.0 −0.65 −0.50 −0.70 −2.6%−2.0% −2.8% 50 mg/ml at pH = 7.0 −0.86 −0.78 / −3.4% −3.1% / 50 mg/ml atpH = 8.0 −10.88 / / −43.5% / / *PHO = sodium phosphate buffer, CITR. =sodium citrate buffer, ACE = sodium acetate buffer

As shown by the table above and the graphs a pH dependence is observedboth at 5 mg/ml and 50 mg/ml: the minor loss of purity % was observed atpH 6.0 and 7.0 for both strengths. Also citrate and acetate buffer at pH4.0 had a positive effect on the aggregate content while at pH 8.0 inphosphate buffer a fast degradation path was observed.

No oxidation by HI-HPLC or change in pH or appearance was observed after1 month storage at +40±2° C.

Ionic Strength Effect

In order to test the effect of various ionic strengths, solutions ofonercept at 5 mg/ml and 50 mg/ml were prepared in phosphate buffer atthree different molarities (10 mM, 50 mM and 100 mM) at pH 6.0, 6.5, and7.0 each. The solutions (about 20 ml/batch) were filled into 3 ml glassvials (1 ml filling volume), capped, stoppered and stored at +5±3° C.,+25±2° C. and +40±2° C. to be analysed weekly up to 1 month. Resultswere as shown by the Graphs of FIGS. 4 and 5 and by Table 2:

TABLE 2 Onercept formulated bulk at 5 mg/ml and 50 mg/ml at differentionic strengths (losses in purity by SE-HPLC at +40 ± 2° C.) Slopes (%degr./week) Loss in purity (%) after 1 month Formulation pH 6.0 pH 6.5pH 7.0 pH 6.0 pH 6.5 pH 7.0 5 mg/ml in 10 mM phosphate buffer −0.18−0.17 −0.48 −0.7% −0.7% −1.9% 5 mg/ml in 50 mM phosphate buffer −0.15−0.17 −0.33 −0.6% −0.7% −1.3%  5 mg/ml in 100 mM phosphate buffer −0.13−0.16 −0.37 −0.5% −0.6% −1.5% 50 mg/ml in 50 mM phosphate buffer  −0.53−0.57 −1.07 −2.1% −2.3% −4.3% 50 mg/ml in 100 mM phosphate buffer −0.39−0.50 −1.21 −1.6% −2.0% −4.5%

As shown by the graphs and the table above the extent of aggregation isnot affected by the buffer concentration: pH 7.0 has a negative effecton purity % at each buffer strength while a minor loss in purity wasobserved both at pH 6.0 and 6.5. No oxidation by HI-HPLC nor change inpH or appearance was observed after 1 month storage at +40±2° C.

Other Excipients (Stabilizers) Effect

In order to test the effect of various excipients, solutions of onerceptat 5 mg/ml and 50 mg/ml were prepared in phosphate buffer 40 mM at pH6.0 and 6.5 and brought to isotonicity with sodium chloride, mannitol,glucose and saccharose. The solutions (about 20 ml/batch) were filledinto 3 ml glass vials (1 ml filling volume), capped, stoppered andstored at +5±3° C., +25±2° C. and +40±2° C. to be analysed weekly up to1 month.

Results were as shown by the Graphs of FIGS. 6 and 7 and by Table 3:

TABLE 3 Onercept formulated bulk at 5 mg/ml and 50 mg/ml with excipients(losses in purity by SE-HPLC at +40 ± 2° C.) Loss in purity (%) Slopes(% degr./week) after 1 month Formulation pH = 6.0 pH = 6.5 pH = 6.0 pH =6.5 5 mg/ml with sodium −0.10 −0.10 −0.4% −0.4% chloride 5 mg/ml withmannitol −0.10 −0.08 −0.4% −0.3% 5 mg/ml with saccharose −0.17 −0.20−0.7% −0.8% 5 mg/ml with glucose −1.09 −2.7 −4.4% −10.8 50 mg/ml withsodium −0.44 −0.42 −1.8% −1.7% chloride 50 mg/ml with mannitol −0.48−0.43 −1.9% −1.7% 50 mg/ml with −0.63 −0.54 −2.5% −2.2% saccharose 50mg/ml with glucose −4.66 −6.97 −18.6% −27.9%

As shown by the Graphs and the Table above sodium chloride and mannitolhad the same behaviour as isotonicity agents. Consequently, sodiumchloride was selected being already present in the drug substancesolution. Further, no pH shift occurred after one month storage at+40±2° C. while a modified pattern on the chromatographic profile wasobserved by HI-HPLC for the onercept formulations containing glucose andsaccharose as stabilizers.

From all these results, the surprising conclusion comes that the moststable liquid formulations are those excipients, which are normally usedas stabilizers. Therefore the most stable formulations are those, whichcontain only an appropriate buffer to dilute the active substance and anisotonicity agent.

In these conditions, the pH range applicable for good stability resultsis 6.0 to 7, preferably from 6 to 6.5. Isotonicity can be obtained bythe addition of adequate amounts of sodium chloride or mannitol,preferably sodium chloride.

Further, analogous experiments have confirmed substantially the sameresults for strengths of TBP-1 up to 170 mg/ml, as well as for TBP-2.

Examples Of Pharmaceutical Production Materials

r-h TBP-1 drug substance; Sodium chloride (Merck); di-Sodium hydrogenphosphate dihydrate (Merck); Sodium dihydrogen phosphate monohydrate(Merck); ortho-Phosphoric acid 85% (Merck); WFI.

Container/Closure

The primary container is a glass syringe with a stainless steel needleand rubber plunger. It is composed of:

Syringe Description

-   -   SCF 1.0 mL long W7974 grey (Becton Dickinson)

Material, Composition:

-   -   syringe: borosilicate glass type I    -   needle: steel    -   lubricant: DC360, silicone oil-dimethicone    -   needle shield: elastomer

Plunger Stopper Description

-   -   HYPAK SCF plunger stopper; BSCF 1.0 mLL 4023/50 grey (Becton        Dickinson)

Material, Composition:

-   -   elastomer: bromobutyl, inert mineral, unconventional curing        system    -   lubricant: DC360, silicone oil-dimethicone        Example of Preparation of r-h TBP-1 Solutions in 0.1 M Sodium        Phosphate Buffer, pH=6.5; Sodium Chloride 0.025 M        A) Solution of r-h TBP-1 at 14.3 mg/mL

For the preparation of a batch of 1 L of finished product, the followingquantities are used:

r-h TBP-1 14.3 g Sodium Chloride 1.46 g di-Sodium phosphate dihydrate10.5 g Sodium dihydrogen phosphate monohydrate 5.68 gB) Solution of r-h TBP-1 at 71.4 mg/mL

For the preparation of a batch of 1 L of finished product, the followingquantities are used:

r-h TBP-1 71.4 g Sodium Chloride 1.46 g di-Sodium phosphate dihydrate10.5 g Sodium dihydrogen phosphate monohydrate 5.68 gC) Solution of r-h TBP-1 at 142.9 mg/mL

For the preparation of a batch of 1 L of finished product, the followingquantities are used:

r-h TBP-1 142.9 g  Sodium Chloride 1.46 g di-Sodium phosphate dihydrate10.5 g Sodium dihydrogen phosphate monohydrate 5.68 g

Method of Preparation

-   -   The liquid drug substance containing r-h TBP-1 is lyophilized        and the resulting powder is collected to be titred.    -   The required quantities of sodium chloride, disodium phosphate        dihydrate and sodium dihydrogen phosphate monohydrate are        dissolved in approximately 800 g of WFI. Their amounts are        calculated taking into account the contribution of salts coming        from the lyophilized drug substance.    -   The pH is checked and adjusted to the value of 6.5±0.2 with        diluted (1:10) ortho-phosphoric acid 85%.    -   The required amount of lyophilized drug substance is added very        slowly under stirring and WFI is added to reach the final weight        (calculated considering the final density of the solution). The        pH is checked and adjusted to pH 6.5±0.2 with diluted        ortho-phosphoric acid, at various steps during compounding.    -   The r-h TBP-1 solution is first pre-filtered through a 0.45 μm        membrane filter followed by a sterile filtration on a 0.22 μm        menbrane filter (DURAPORE) under 1.0 atm nitrogen pressure (the        solution at 14.3 mg/mL is not pre-filtered). The sterile        solution is collected into a glass flask.

1-13. (canceled)
 14. A stable, pharmaceutically acceptable, aqueousformulation of a TNF-binding protein comprising TBP-1 or TBP-2 as theTNF-binding protein, an isotonicity agent, and a buffer selected fromthe group consisting of a phosphate buffer, acetate buffer, and citratebuffer.
 15. The formulation according to claim 14, wherein the buffer isa phosphate buffer.
 16. The formulation according to claim 14, whereinthe buffer is an acetate buffer.
 17. The formulation according to claim14, in which the buffer is a citrate buffer.
 18. The formulationaccording to claim 15, in which the buffer keeps the pH from 5 to
 7. 19.The formulation according to claim 16, in which the buffer keeps the pHfrom 4 to
 6. 20. The formulation according to claim 17, in which thebuffer keeps the pH from 4 to
 7. 21. The formulation according to claim14, wherein the isotonicity agent is sodium chloride.
 22. Theformulation according to claim 14, wherein the isotonicity agent ismannitol.
 23. The formulation according to claim 14, wherein theisotonicity agent is saccharose.
 24. The formulation according to claim14, comprising TBP-1 as the TNF-binding protein.
 25. The formulationaccording to claim 14, comprising TBP-2 as the TNF-binding protein. 26.The formulation according to claim 14, wherein the concentration of theTNF-binding protein is from 5 to 170 mg/ml.
 27. The formulationaccording to claim 14, wherein the concentration of the buffer is from 5to 150 mM.
 28. The formulation according to claim 14, wherein theconcentration of the isotonicity agent is from 5 to 50 mM.
 29. Theformulation according to claim 14, further comprising a preservative.30. The formulation according to claim 29, wherein the preservative isselected from the group consisting of phenol, benzyl alcohol,meta-cresol, methyl paraben, propyl paraben, benzalconium chloride, andbenzethonium chloride.
 31. A process for the preparation of a stable,pharmaceutically acceptable, aqueous formulation according to claim 14,comprising diluting the TNF-binding protein with a solution ofexcipients.
 32. A presentation form of the stable, pharmaceuticallyacceptable, aqueous pharmaceutical formulation according to claim 14,comprising a container appropriate for storage prior to use wherein theliquid formulation is hermetically sealed under sterile conditions.